Individual
IVONNE JAZMIN GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 W DICKENS AVE, CHICAGO, IL 60614-3934
(773) 698-6535
Mailing address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016219
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/04/2021
Last updated
09/13/2024
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